Nurses [at UCLA] and doctor [Kathleen Brennan] are very nice, and bedside manner is wonderful. But you are very aware of how many other people need to be treated, so once your time with the doctor is up I got the feeling "OK, on to the next in line." Not meant to be offensive. I understand it is part of working in a medical group like UCLA.

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Age

26

Treated

2016

Success with this Doc

Yes

Race

Middle Eastern

Income

$100K - $199K

Occupation

—

Order & Number of Docs Seen

1 Doc Seen

Treatment

1 IUI

Diagnosis

Male Factor

9

Describe your experience with UCLA.

It's a medical group that acts like a HMO. I think that is enough explanation ....

During treatment, did you feel like you were treated like a number or a human?

Nurses and doctor are very nice, and bedside manner is wonderful. But you are very aware of how many other people need to be treated, so once your time with the doctor is up I got the feeling "OK, on to the next in line." Not meant to be offensive. I understand it is part of working in a medical group like UCLA.

Describe your experience with your nurse.

Always helpful on the phone when I call the office. When I go in for my appointments, the nurse has a smile on her face and engages in small talk. It is appreciated.

How was your experience with Kathleen Brennan?

Very knowledgeable about her field and also knowledgeable about religious questions concerning intimacy between spouses. Easy to talk to. Has a detailed discussion with you regarding personal health history and fertility history in immediate family. Discusses all options of treatments and explains each one. If you don't understand the explanation, she will explain it again so that you can understand.

What one piece of advice would you give a prospective patient of Kathleen Brennan?

She may say something or suggest something that you disagree with (including to those who lead a religious lifestyle and consult a Rabbi). My personal opinion is, do as she says. It is your best chance to get pregnant.

Describe the protocols Kathleen Brennan used in your cycles and their degree of success.

Before treatment began, Dr. Brennan took blood tests (to see if my hormone levels were adequate for the time of cycle) and also get an HSG. I also got an ultrasound where she counted the follicles in each ovary and saw whether I was ovulating naturally or needed medical intervention. Husband got three semen analyses done. Once all results were in - Doctor determined IUI without Clomid would be a good place to start. Called Doctor with positive ovulation test. Went in the day after the positive ovulation test for the IUI. Husband gave sample - which Doctor washed. Did procedure. Got positive pregnancy test two weeks later.

Describe the costs associated with your care under Kathleen Brennan.

All labs were covered by insurance. HSG was covered by insurance. Initial ultrasound was covered by Insurance. Medication (after IUI to maintain pregnancy) covered by insurance. Injections for other treatments would not have been covered. IUI was not covered by insurance.

8

Doctor

Kathleen Brennan

Communication

Trustworthiness

Compassion

Explained risks

Adaptability

Frequency seen during appointments

9

Clinic

UCLA

Los Angeles

Nursing

Operations

Scheduling

Billing

Clinic Atmosphere

Educational Resources

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6

Age

34

Treated

2013

Success with this Doc

No

Treatment

4 IUI

Diagnosis

Male Factor, Unexplained

6

Part of the UCLA West LA mega complex. Well staffed on hours, responsive on getting you in when you needed to....They were always kind, friendly when I was coming in often. The woman who performed the dye test to check fallopian tubes was especially compassionate, telling me how brave I was to be doing what I was doing.

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Age

34

Treated

2013

Success with this Doc

No

Race

—

Income

$100K - $199K

Occupation

Entrepreneur

Order & Number of Docs Seen

1 Doc Seen

Treatment

4 IUI

Diagnosis

Male Factor, Unexplained

6

Describe your experience with UCLA.

Part of the UCLA West LA mega complex. Well staffed on hours, responsive on getting you in when you needed to. Assumed it was cutting edge since it was affiliated with UCLA.

During treatment, did you feel like you were treated like a number or a human?

She always took the time to talk, seemed to remember my specific concerns from time to time, let me cry, etc.

Describe your experience with the nursing staff.

It's been a few years so I don't remember specifics that well. They were always kind, friendly when I was coming in often. The woman who performed the dye test to check fallopian tubes was especially compassionate, telling me how brave I was to be doing what I was doing.

What specific things went wrong at this clinic?

Failed to call in prescriptions to pharmacy

How was your experience with Kathleen Brennan?

Dr. Brennan did exactly what was outlined when we first met, went over things in technical detail, and answered my many questions. It did feel like we were quick to jump to injections and manipulating things chemically, but I am not sure what other choices really exist if you are doctor following standard practice.

What one piece of advice would you give a prospective patient of Kathleen Brennan?

Ask about things other than use of pills, injections, etc you can be doing to increase the chances of conceiving.

Describe the protocols Kathleen Brennan used in your cycles and their degree of success.

A few months of pills to increase and control egg production, then movement to pills and injectables for IUIs. Also did a dye-test to check fallopian tubes, and a sperm test on husband. No problems were ever found with either of us. Rational on strategies was just the standard way to control cycles and increase the chances of fertilization when you don't know why you aren't getting pregnant.

Describe the costs associated with your care under Kathleen Brennan.

I think we got up to $6-8K, before we stopped and decided to see (again) what would happen naturally. We knew the next step of AI would be $10-$15Kish.

6

Doctor

Kathleen Brennan

Communication

Trustworthiness

Compassion

Explained risks

Adaptability

Frequency seen during appointments

6

Clinic

UCLA

Los Angeles

Nursing

Operations

Scheduling

Billing

Clinic Atmosphere

Educational Resources

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8

Age

—

Treated

—

Success with this Doc

Yes

Treatment

1 Fertility Medications

Diagnosis

Anovulation, PCOS

8

Sometimes long waits [at UCLA - LA] Billing errors are common Parking is expensive -$12 Insurance card required at every visit which I find annoying Facilities are clean and nice Convenient lab downstairs...[Dr. Kathleen Brennan] Kind and thorough Ordered tests when I requested them Answered all my questions patiently Responds to questions over email via UCLA within 1 day Supervised her residents and took over if they needed help

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Age

—

Treated

—

Success with this Doc

Yes

Race

European

Income

$50K - $99K

Occupation

Entrepreneur

Order & Number of Docs Seen

1 Doc Seen

Treatment

1 Fertility Medications

Diagnosis

Anovulation, PCOS

8

Describe your experience with UCLA.

Sometimes long waits
Billing errors are common
Parking is expensive -$12
Insurance card required at every visit which I find annoying
Facilities are clean and nice
Convenient lab downstairs
........................

During treatment, did you feel like you were treated like a number or a human?

She took the time to walk through all fertility options at first meeting. She smiles often and congratulated us when we got our positive test.

How was your experience with Kathleen Brennan?

Kind and thorough
Ordered tests when I requested them
Answered all my questions patiently
Responds to questions over email via UCLA within 1 day
Supervised her residents and took over if they needed help

What one piece of advice would you give a prospective patient of Kathleen Brennan?

Sometimes there’s a short wait

Describe the protocols Kathleen Brennan used in your cycles and their degree of success.

Scheduling and changing appointments [at UCLA - Santa Monica] is very easy and efficient here. Whenever I had questions about insurance, I felt like I received an informed answer. The UCLA online system is easy to use and I could send messages to my doctor without having to call. Don't park in the ramp as it is too expensive and there is no validation. Street parking in Santa Monica near the clinic is permit parking only...

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Age

40 - 41

Treated

2015 - 2016

Success with this Doc

Yes

Race

European

Income

$50K - $99K

Occupation

—

Order & Number of Docs Seen

1 Doc Seen

Treatment

—

Diagnosis

Unexplained

10

Describe your experience with UCLA.

Scheduling and changing appointments is very easy and efficient here. Whenever I had questions about insurance, I felt like I received an informed answer. The UCLA online system is easy to use and I could send messages to my doctor without having to call.
Don't park in the ramp as it is too expensive and there is no validation. Street parking in Santa Monica near the clinic is permit parking only. I would make morning appointments and park at the meters across the street. It gets busier as the day goes on. Parking always takes longer than you think it will!

During treatment, did you feel like you were treated like a number or a human?

Dr. Brower is very patient and calm. She took the time to answer all of my questions and I never felt rushed. When I received disappointing news, she stayed with me to comfort me.

Describe your experience with the nursing staff.

I had very positive experiences with the nursing staff. The nurse I had most often, Jessica, really enjoys her job and gets excited about good news. It was nice to have people cheering for my pregnancy.

How was your experience with Meredith Brower?

Dr. Brower is careful to be cautiously optimistic. She was very clear about my chances of getting pregnant and didn't sugar coat anything. Also, her encouragement helped my spouse and I focus on the next step and kept us from drowning in the big picture. The big picture can be very overwhelming.
Dr. Brower is very thorough in her explanations and she took the time to answer all of our questions. I never felt rushed which is important because this kind of treatment is very emotional. She is very compassionate and I feel that she is very invested in the success of her patients.
UCLA has a great online system where you can email the doctor, see test results, upcoming appointments, etc. Dr. Brower always answered my emails within 24 hours and often within 6 hours. I never had an inquiry go unanswered
Against pretty big odds, I am happy to say that I am 12 weeks pregnant today.

What one piece of advice would you give a prospective patient of Meredith Brower?

I think this could be advice to anyone. Take really good notes, so when you are in an appointment you can give accurate answers about yourself and you ask every question that's on your mind.

Describe the protocols Meredith Brower used in your cycles and their degree of success.

I pursued 2 cycles of IVF.
The first protocol: I prepped with bcp then I administered Gonal F, Menopur and Omnitrope. I had a poor response possibly due to the bcp over-suppressing the ovaries.
For the second protocol: I prepped with testosterone gel and clomid (and an estrogen patch? I can't remember). I administered Gonal F, Menopur and Omnitrope then triggered with Ovidrel.
We discussed doing something different if we needed to try another cycle, but I didn't have to!

Describe the costs associated with your care under Meredith Brower.

UCLA offers a package for IVF. If your treatment is cancelled, they break down the appointments and bill the appointments individually. Dr. Brower is knowledgable about billing and insurance and was able to explain the cost with me along the way. She identified cost savings when possible. For example, I was scheduled for a polyp removal procedure. I found out I was pregnant and Dr. Brower recognized that it was ectopic. While I was in surgery for the ectopic, she removed my polyp at the same time. This saved me from a separate procedure, a lot of extra expenses and more heartache.
I also qualified for a great discount for fertility medication through Compassionate Care. There was a time that I miscounted my meds and Dr. Brower was able to pull from the office supply (donations from previous patients) to cover me until I could get to the pharmacy the next day. She met me after hours and I was so grateful.
The IVF coordinator, Teresa Abraham, is very good about calculating how much medication is needed, so you don't have to buy more than you need. Not a drop of my Gonal F was wasted because she was able to extract more out of the used pens to make another dose. This is a big deal considering the cost of the injection pens.

10

Doctor

Meredith Brower

Communication

Trustworthiness

Compassion

Explained risks

Adaptability

Frequency seen during appointments

10

Clinic

UCLA

Santa Monica

Nursing

Operations

Scheduling

Billing

Clinic Atmosphere

Educational Resources

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10

Age

26

Treated

2016

Success with this Doc

Yes

Treatment

1 IVF

Diagnosis

—

10

Teri, IVF Coordinator [at UCLA Santa Monica], is so much fun and so incredibly nice. She has been in the IVF business for over ten years and worked at a couple different clinics. She's seen the industry evolve and really is a great help for injections. She knows the best pharmacy to have your protocol meds purchased through, regardless of them going through insurance or being out of pocket. Additionally, she will coach you on your injection trainings. She has the best tips for painless injections and knows how to administer an inje

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Age

26

Treated

2016

Success with this Doc

Yes

Race

European, Ashkenazi Jewish

Income

$50K - $99K

Occupation

Operations

Order & Number of Docs Seen

1 Doc Seen

Treatment

1 IVF

Diagnosis

—

10

Describe your experience with UCLA.

First thing is it's in Santa Monica, which is notorious for awful, expensive parking. Go across the street and park in the meter spots if you have an appointment in the early morning, meter parking is free there until 9am! As for the clinic, it is always clean, comfortable, and warm. The staff are nice and quick with check-in and check-out. You're going to be there every other day sometimes, and they really do recognize you and get to know you. The bedside manner really is great across the board.

During treatment, did you feel like you were treated like a number or a human?

Dr. Brower has an incredible bedside manner and treats every patient uniquely based on that patient's needs and protocol and how the patient like their news/information delivered.

Describe your experience with your nurse.

Teri, IVF Coordinator, is so much fun and so incredibly nice. She has been in the IVF business for over ten years and worked at a couple different clinics. She's seen the industry evolve and really is a great help for injections. She knows the best pharmacy to have your protocol meds purchased through, regardless of them going through insurance or being out of pocket. Additionally, she will coach you on your injection trainings. She has the best tips for painless injections and knows how to administer an injection that normally may sting so that it doesn't. Jessica, nurse for Dr. Brower, is so incredibly sweet and nice ALWAYS. I had doctor appointments at the crack of dawn, 7:30am, and she was always so nice and had a great attitude even at that time of day. A big plus is she is great with blood draws. I have tiny veins that sometimes like to roll, she gets the blood draw in the first poke, no bruises and no pain!

How was your experience with Meredith Brower?

Dr. Brower is an amazing doctor with an incredible bedside manner. I unfortunately needed the assistance of a doctor to conceive, but my husband and I were lucky enough to have Dr. Brower on our side. IVF can be an emotional and time consuming process, nevermind the financial implications if insurance doesn't cover it. However, with Dr. Brower you feel like you have another person besides your spouse and/or any family and friends to turn to. Too often you hear a doctor say he/she understands what is happening to your body or knows what you're going through and they really don't. But this is not the case with Dr. Brower. During every single little step in the process she was there. She is incredibly prompt and detailed in her response to any and all questions - day or night AND on the weekends. She is up to date on her research and studies and is willing to work with you to make your protocol personal and what you specifically need. She helps you find financial assistance, if needed. In addition to Dr. Bower, you get her wonderful team - Teri, IVF Coordinator, who knows where to get the protocol meds cheapest and gives a great injection tutorial, and Jessica, nurse, who is an incredible joy to be around even at 7:30am and can draw blood at first poke even with the tiny veins I have! It is a true blessing to graduate from Dr. Brower's care to the care of a regular OB for the remainder of your pregnancy, but trust me when I say this (as you'll be thinking/saying the same thing) - you'll wish she delivered babies too! I did not want to leaver her office at my last appointment. She invited my husband and I into her office to see if we have any final questions - I always have questions (which she is beyond happy to answer) - and I couldn't muster one, not even to stay longer. I will miss her care immensely, but am excited to work with her again in the future when we want to conceive again.

What one piece of advice would you give a prospective patient of Meredith Brower?

You made a great choice! Dr. Brower is patient, empathetic, sympathetic, and always available. Even if results aren't always great, you'll know that you have a support system always available.

Describe the protocols Meredith Brower used in your cycles and their degree of success.

I am not infertile, but went through fertility treatment because I have a chromosomal dominant disease that I did not want my child(ren) to have so my protocol may be different. I started off on birth control and the reason for this is to regulate your cycle, calm your ovaries, and so your doctor knows when you are most likely to ovulate. I had ten days of ovarian stimulation which included Gonal-F and Menopur and the final four days included Cetrotide so I wouldn't ovulate. I have a Lupron based trigger shot, which is great if you're a candidate for it as it helps combat the likelihood/side effects of OHSS. Post-retrieval for seven days I took Cabergoline which continues to combat the likelihood/side effects of OHSS. After starting my period, post-retrieval, I started birth control again (I wanted to do the transfer as soon as possible) so that my doctor would know when I would ovulate. I stopped birth control pills about 10-12 days in and got another period and then started a protocol of Estrogen by transdermal patches on my abdomen, which helps produce a thick uterine lining making it more likely that your embryo transfer will produce a pregnancy (thick lining=easier implantation of embryo). The Estrogen also stops ovulation. The five days leading up to the embryo transfer I started Progesterone. Dr. Brower provided a protocol of two Endometrin suppositories and a 1ml evening injection of Progesterone. She allows for Progesterone to be administered in one of three ways: three Endometrin suppositories; two Endometrin suppositories and a 1ml evening injection of Progesterone; or a 2ml evening injection of Progesterone. I started on the original protocol, but found that the injection was a breeze and the suppositories were frankly quite messy that about two days into this (three days prior to transfer) I switched over to the last option - a 2ml evening injection of Progesterone. Big plus is the progesterone by injection is MUCH less expensive than the Endometrin. The Estrogen transdermal patches and Progesterone (whichever protocol you choose) is done until you reach 12 weeks of pregnancy.

Describe the costs associated with your care under Meredith Brower.

0% of IVF and related expenses are covered by my insurance so it was fully out-of-pocket. One cycle of IVF cost about $3,000 and one transfer cycle monitoring cost about $2,000 - these are both paid directly to the doctor's office at the end of the cycle

10

Doctor

Meredith Brower

Communication

Trustworthiness

Compassion

Explained risks

Adaptability

Frequency seen during appointments

10

Clinic

UCLA

Santa Monica

Nursing

Operations

Scheduling

Billing

Clinic Atmosphere

Educational Resources

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7

Age

39

Treated

2016

Success with this Doc

?

Treatment

2 IVF, 1 Egg Freezing

Diagnosis

Poor Egg Quality, Unexplained

7

My only comparison [to UCLA] is with a private clinic (not affiliated with a large public university), and I had much better service (at a price!) at the private clinic. Monitoring was only every other day toward the end of stims, so I didn't know what my actual situation (E2, largest follicle size) was at trigger, whether hcg in my system was sufficient after trigger, etc. At my last monitoring appointment, I noticed that they do not measure all of the follicles (I didn't have that many being AMA), just the few largest to get an idea. While I understand that this appears to get the job done, I usually like more information when possible. Again, I like the frequency with which I got to see my own doctor, which I understand doesn't happen everywhere.

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Age

39

Treated

2016

Success with this Doc

?

Race

East Asian

Income

$200K - $499K

Occupation

Accountant

Order & Number of Docs Seen

2nd of 2 Docs

Treatment

2 IVF, 1 Egg Freezing

Diagnosis

Poor Egg Quality, Unexplained

7

Describe your experience with UCLA.

My only comparison is with a private clinic (not affiliated with a large public university), and I had much better service (at a price!) at the private clinic. Monitoring was only every other day toward the end of stims, so I didn't know what my actual situation (E2, largest follicle size) was at trigger, whether hcg in my system was sufficient after trigger, etc. At my last monitoring appointment, I noticed that they do not measure all of the follicles (I didn't have that many being AMA), just the few largest to get an idea. While I understand that this appears to get the job done, I usually like more information when possible. Again, I like the frequency with which I got to see my own doctor, which I understand doesn't happen everywhere.

During treatment, did you feel like you were treated like a number or a human?

I appreciate that Dr. Brower considers the emotional aspect of infertility and related treatment. I also appreciated seeing Dr. Brower (or her partner in Dr. Brower's absence) for my ultrasound monitoring appointments instead of an ultrasound tech. She was very responsive to email/web portal inquiries.

Describe your experience with your nurse.

Teri is an experienced IVF coordinator/nurse, but I'm not sure if her workload is too much handling all IVF patients. She was very helpful in getting my IVF cycles approved with my insurance, but sometimes I would not get responses to my emails.
The other nurses I saw for blood draws and to take my vitals were pleasant and professional.

What specific things went wrong at this clinic?

Failed to call in prescriptions to pharmacy

How was your experience with Meredith Brower?

I was referred to Dr. Brower by my ob/gyn after the loss of our first pregnancy. I consulted with her as we were coming up on six months (over the age of 35) without a successful pregnancy. My husband and I met with her after we got my initial blood work back. She was sympathetic about our loss, presented different treatment options, and was appropriately candid about the less than rosy statistics for them. We decided to proceed with IVF as it offered our best chance of success and we liked the prospect of being able to test to reduce the risk of another loss. I began priming and OCP suppression later that month. When our first retrieval cycle did not go well (objective was to get something to test), she gave us the option to repeat the same protocol or to try a different one for our second cycle. I found Dr. Brower to be appropriately communicative, candid, and caring.

What one piece of advice would you give a prospective patient of Meredith Brower?

Maybe not specific to Dr. Brower, but it's important to understand that infertility is a very frustrating branch of medicine that does not offer the same quality of data that others do. There are still a lot of unknowns and every patient is different.

Describe the protocols Meredith Brower used in your cycles and their degree of success.

My first cycle with Dr. Brower was antagonist - I testosterone primed with Androgel for 34 days and stimmed with 300 Gonal-F, 150 Menopur, and hgh for nine days (adding Cetrotide days 7-9), triggering with a single dose of Ovidrel on the 10th day. We retrieved 12 eggs, of which only 7 were mature and ICSI'd, of which only three fertilized. One became a morula, but the other two did not make it that far. We had no blastocysts to test and freeze as was our goal.
Because that went poorly, we wanted to try a different protocol to see how that would go. The cycle after the first egg retrieval, I started OCP on CD3 preparing for another antagonist protocol. I testosterone primed with Androgel for 24 days (stopping 2-3 days before beginning stims as I ran out because it had been ordered before changing to the luteal lupron plan). We had subsequently decided on a luteal lupron protocol (without OCP), but I needed to remain on the OCP for about a week for hysteroscopy visibility. After that I had to monitor for ovulation with OPKs to ensure ovulation before starting lupron suppression (10u once daily) on CD20 for 13 days. I began stimming this time with 450 Gonal-F, hgh, and reducing the lupron to 5u for days 1-4. Beginning day 5, I reduced the Gonal-F to 300 and added 150 Menopur along with the hgh and lupron through day 10. I triggered on day 11 with a single dose of Ovidrel. We decided to try half IVF and half ICSI since all ICSI didn't work out well for us last time - we admit the human element with ICSI scares us a little bit and like the idea of some natural selection. We retrieved 10 eggs, of which 8 fertilized (5/5 IVF, 3/5 ICSI), and are currently waiting to see how they fare.

Describe the costs associated with your care under Meredith Brower.

I had insurance coverage for my two IVF cycles with her. The office uses another fertility center or one of the university surgical centers for its surgeries, so bills came separately from different departments at UCLA (physician billing is different from hospital billing) or from the third party fertility center directly. Genetic testing (of me, not embryos) was also billed separately.

7

Doctor

Meredith Brower

Communication

Trustworthiness

Compassion

Explained risks

Adaptability

Frequency seen during appointments

7

Clinic

UCLA

Santa Monica

Nursing

Operations

Scheduling

Billing

Clinic Atmosphere

Educational Resources

– Read less

5

Age

—

Treated

—

Success with this Doc

No

Treatment

3 IVF

Diagnosis

Diminished Ovarian Reserve, Male Factor, Poor Egg Quality

5

The staff [at UCLA] is friendly and we always felt comfortable there. Jessica was the nurse who usually greeted us and drew blood. She is very sweet, and seems to enjoy her job. Parking is expensive if you don't have an early morning appointment...Teri is the nurse who I worked with all 3 times. She is knowledgable and kind, but it could be a struggle to communicate with her via phone or email....My insurance did not cover IVF so, it was all out-of-pocket.

+ Read more

Age

—

Treated

—

Success with this Doc

No

Race

European, South Asian

Income

$100K - $199K

Occupation

Graphic Designer

Order & Number of Docs Seen

1st of 2 Docs

Treatment

3 IVF

Diagnosis

Diminished Ovarian Reserve, Male Factor, Poor Egg Quality

5

Describe your experience with UCLA.

The staff is friendly and we always felt comfortable there. Jessica was the nurse who usually greeted us and drew blood. She is very sweet, and seems to enjoy her job. Parking is expensive if you don't have an early morning appointment.

During treatment, did you feel like you were treated like a number or a human?

Dr. Brower was always straight forward and very personable. She is very knowledgable and very good at communicating. She has a very warm bedside manner.

Describe your experience with your nurse.

Teri is the nurse who I worked with all 3 times. She is knowledgable and kind, but it could be a struggle to communicate with her via phone or email.

How was your experience with Meredith Brower?

We did 3 IVF cycles with Dr. Brower at UCLA Santa Monica. She started the 3rd cycle and setup the protocol, and left for maternity leave during the cycle. Dr. Rodi did the egg retrieval on the 3rd cycle. We were initially referred to Dr. Brower by my husbands urologist, and they communicated with each other during the process. We did a few tests in the beginning, such as a genetics test, blood work, urine analysis, and tested my husbands sperm motility. That was it, and we began stimulation. Each time we tried a different injection recipe with similar results. We were told there was no way to test the quality of the sperm and eggs. We both have physical complications and a little more testing would have been beneficial. Instead, we were given donor options. Dr. Brower has since transferred to a new facility, and we have chosen to seek a new doctor. The new doctor performed some critical tests, that Dr. Brower did not do or recommend. These tests would have saved us a lot of trouble and money from doing the 3 unsuccessful cycles.

What one piece of advice would you give a prospective patient of Meredith Brower?

If you run into some complications, it doesn't hurt to get a second opinion. That goes with any medical procedure from any doctor. She is very knowledgable, but there could be something she is missing. It happens to everyone.

Describe the protocols Meredith Brower used in your cycles and their degree of success.